Individual
MARY J. CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
102 E MARION ST, PARIS, MO 65275-1041
(660) 327-4911
(660) 327-5501
Mailing address
102 E MARION ST, PARIS, MO 65275-1041
(660) 327-4911
(660) 327-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2J93
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080187042
MEDICARE RAIL ROAD
MO
05
—
242583169
—
MO
05
—
599120102
—
MO
Enumeration date
10/12/2005
Last updated
04/23/2024
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